| Name | Nathan Alexander Roubitchek |
|---|---|
| Sex | male |
| Birth Date | February 14, 1991 |
| Death Date | May 29, 1991 |
| Age at Death | 3 months, 15 days old |
| Birth Place | California |
| Death Place | San Diego County, California |
| Mother's Maiden Name | Albert |
| Social Security Number | 611-44-6147 |